What is Health Insurance?

Health insurance is a type of insurance that protects your savings in case of medical emergencies or planned treatments, including surgeries, hospitalization, day-care treatments, pre-hospitalization, post-hospitalization post-hospitalization, ambulance charges, ICU charges, etc.

An ideal health insurance policy helps offset the financial burden of any medical emergency. Further, it also provides tax savings of up to ₹75,000 on the premium amount according to Section 80D of the Income Tax Act.

Select from Our Best Health Insurance Plans in India

We ensure that you and your loved ones receive optimum healthcare coverage complemented with an affordable premium. Here are some of the best health insurance plans in India offered by Care Health Insurance:

Ultimate Care

Health insurance plan with Infinity Bonus, and industry's first innovative Moneyback feature.

Why Choose Care Health Insurance?

As one of the leading health insurance providers in India, our strength ranges from offering tailor-made services to swift claim settlements. We offer a comprehensive range of health insurance plans in India. Given below are some of the reasons why a health insurance policy from Care Health Insurance may be the best option for you:

1.Affordable Premiums with Extensive Coverage

Our health insurance plans offer a new-age coverage at an affordable premium to ensure you are appropriately covered without digging a hole in your pocket!

2.Wide Range of Plan Options

We ensure competitive coverage for everyone through the diverse plan options for families, individuals, parents, expecting mothers, and people with critical illnesses

3.Vast Network

We have a wide network of 21700+ cashless healthcare providers, including 11500+ network hospitals, that ensure you can avail of quality treatment in times of need.

4.Easy Claim Process

With a hassle-free claim procedure available both online and offline, we are also home to one of the best claim assistance team which means convenient claims anytime any day!

Features of Care Health Insurance Plans

Owing to our vast chain of cashless network providers and efficient claim processing capabilities. Addressed below are the features of the best health insurance plans from Care Health Insurance:

Parameter Definition Details

Sum insured

The sum insured is an amount paid by the insurer to the insured in case of an unforeseen event.

Ranging from ₹5 lakhs to ₹1 crores

Pre-hospitalization expenses

Diagnostic, consultation, and medical charges incurred before hospitalization are pre-hospitalization expenses

Covered up to 60 days

Post-hospitalization expenses

The expenses incurred in taking recovery diagnosis, consultation and medication after discharge are called post-hospitalization expenses.

Covered up to 90 days

Ambulance charges

The cost incurred in hiring ambulance services if a medical emergency occurs.

Daycare treatments

A treatment that does not require 24-hour hospitalization is known as daycare treatment. Examples include dialysis and chemotherapy.

ICU charges

The cost incurred towards availing of ICU services.

Add-ons

An additional feature in health insurance plans that can be bought by paying an extra premium.

Hospital Network

The list of hospitals that tie up with the insurance company to provide hassle-free treatments to the insured is called network hospitals in health insurance.

21700+ cashless healthcare providers with 11500+ network hospitals

Tax benefits

The tax benefit is the deduction from the taxable amount you can avail of based on your health insurance premium.

Up to ₹75000 Under Section 80D~

AYUSH treatments

The medicine practices, including Ayurveda, Yunani, Siddha, and Homeopathy, are AYUSH treatments.

Domiciliary treatments

Domiciliary treatment is the medical treatment offered to a patient at home when hospitalization is impossible.

Grace period

The period after the policy expiry date, when you can renew your policy and retain the existing benefits, is known as a Grace period.

30 days after policy expiry

Waiting period

The time that you have to wait before filing a claim for specified diseases is known as the Waiting period.

30 days / 24 months/36 months

Policy tenure

Policy tenure is the maximum tenure till which you want your policy to offer coverage.

1 year/ 2 years/ 3 years / 4 years/ 5 years

Advanced medical treatments

Treatment procedures that require modern methods, such as robotic surgery, laser treatment, stem cell therapy, etc., are known as Advanced medical treatments.

Covered

Critical illness

According to IRDAI, illnesses such as Cancer, Pulmonary Thromboembolism, Stroke, Angioplasty, etc. are considered critical illnesses.

Special plans offering coverage for 32 illnesses

Comparing Our Health Insurance Plan with Other Insurers

There is no universal health insurance policy that suits everyone. Different plans have varying benefits, coverage, and premiums. Hence, comparing plans to choose the one that meets your needs is important. Take a look at how our plan compares to other options in the market:

Benefits Other Health Insurers Plans Care's Ultimate Care Plan

Moneyback Benefit

Although loyalty bonuses are offered for claim-free years, premiums are not returned.

Ultimate Care returns the first year’s base premium upon every block of 5 claim-free years.

Bonus Limit

Other health insurance has a set limit on the bonus amount offered.

The infinity bonus boosts your coverage up to 100% of the sum insured every year upon consecutive renewals.

Room rent limits

Other health insurance plans may have sub-limits on room rent.

No Room rent limit

Co-pay

May have a fixed co-pay

No Co-pay

Unlimited Automatic Recharge

Coverage extends to Sum Insured only.

The Sum Insured is automatically recharged unlimited times throughout the policy year.

Unlimited E-consultation

Other insurers do not offer unlimited e-consultation benefit.

Access qualified doctors online as often as needed, at no extra cost, for convenient medical advice from home.

A Note from the Expert’s Desk

Health Insurance is a powerful investment that is evolving to address not just unprecedented health emergencies but also chronic health conditions. Also, with medical inflation soaring yearly, having an appropriate plan is not just an option- but a necessity. With the right health insurance by your side, you can ensure access to quality healthcare without a financial strain.

Remember to assess your loved one’s medical needs, compare policies, and choose a plan that backs them with comprehensive coverage, including hospitalization and preventive care services. Your informed decision today can make a huge difference in your family’s health and finances in the long run—for good.

Benefits of Health Insurance

According to a report by Business Standard, wholesale prices in India rose to 0.53% in March 2024. This inflation has also been significant in the medical sector! The constant year-on-year increase in medicine prices, diagnostic tests, and hospital charges across India have made having an affordable Mediclaim policy the need of the hour! Mentioned below are a few benefits of having health insurance:

Common Health Insurance Terms You Should Know

Understanding the terms and conditions of your health insurance is crucial for policyholders to avoid last-minute hassles. Read out these commonly used health insurance terms to make reading the policy documents easier:

What is Covered under Care Health Insurance Plans?

We offer the best health insurance plans for medical expenses, which provide comprehensive financial protection in times of urgency by covering various medical expenses apart from the bills you incur during hospitalisation. The coverage provided is subject to the policy terms and conditions. The expenses covered in health insurance policies are:

1.In-Patient Hospitalization

Our medical insurance policies cover your expenses, such as room rent, ICU charges, doctor’s fees, etc., during any planned or emergency hospitalization up to the sum insured.

2.Pre-Hospitalization Medical Expenses

We cover your medical expenses, such as doctor’s consultations, medical tests, and medication, up to 60 days before hospital admission.

3.Advanced Medical Treatments

With our health insurance plans in India, you can access advanced medical care and get coverage for modern treatments, including robotic surgeries and chemotherapies.

4.Daily Allowance

The everyday expenses during hospitalization can be burdensome, but our health insurance plans provide a fixed amount to cover them.

5.Post-Hospitalization Medical Expenses

Medical expenses, such as follow-up visits and medical tests, are covered up to 90 days immediately after discharge from the hospital.

6.Domiciliary Hospitalization

We offer domiciliary hospitalization expenses to ensure uninterrupted medical coverage per the policy terms.

7.AYUSH Treatments

Treat your ailments with a combination of modern and traditional treatments. Our AYUSH coverage helps you avail of alternative treatment as per policy terms and conditions.

8.Coronavirus Treatment

We offer standard coverage for hospitalization and medication as per policy terms to ensure you are not strained due to a COVID-19 infection.

The best medical insurance plans also offer maternity benefits as an optional cover for delivery-related expenses. Various add-ons are available at an additional premium, including OPD Care, which covers expenses such as OPD consultations, diagnostics, and medicines.

Disclaimer: For more details on product coverage, please check our product pages and policy documents.

What is Not Covered under Health Insurance Policies?

We want all our customers to be well-informed before purchasing a health insurance policy. Therefore, we urge you to review the policy documents within the free lookup period to avoid last-minute rejections of claims. Mentioned below are the common exclusions of a health insurance plan that you opt from Care Health Insurance:

Which Add-ons are Included in a Care Health Insurance Policy?

Health Insurance plans from Care Health Insurance come with different add-on benefits that help you customize premiums and/or expand your coverage. Listed below are a few add-ons that our customers love the most.

How to File a Claim under Health Insurance Plans

Emergency
Intimate within 24 hours of your hospitalization

 Planned Hospitalization

Intimate us 48 hours prior to your hospitalization

Cashless
Request for pre-authorization

 Reimbursement

Claim form submission

Complete the pre-authorization form available
at the hospitals' insurance/TPA Desk and send us through fax.

 

Approval

Approval letter sent by the claim management team

 

Query

Hospital/Insured to respond to the query raised by the claim management team

 

Rejected

You may initiate the treatment and file for reimbursement claim

How Do Health Insurance Plans Work?

A health insurance plan works on the principles of indemnity, wherein the insurer agrees to pay the amount of hospitalization cost up to the sum insured. The primary role of health or medical insurance is to lower the financial burden of unexpected life events like illnesses, accidents, and ailments. The formula is simple-your health insurer provides financial support during medical emergencies in return for a regular premium payment. Yet, there’s more to a health insurance policy than only the premium and sum insured.

Which Type of Health Insurance Should You Buy?

You should determine the ideal health plan for yourself and your family by evaluating the healthcare needs, age, and current health status of every member. To help you select the right health policies for every member, we have created a scenario-based differentiation covering the different needs of individuals and families. Find out which scenario is most relatable to you and secure yourself with our policy offerings-

If You Have Dependent Family Members

Cover all your family’s medical needs under one plan. These plans have a single affordable premium, annual health check-ups, and customizable benefits for every member. We offer sum insured options of up to ₹ 6 crore

Family Floater Insurance Policy

If You are Young and Need Complete Coverage This inflation-proof plan offers comprehensive financial and healthcare security for young adults. This plan has several benefits such as personal accident coverage, discounts, and no co-payment. These plans are available on individual and family floater basis

Youth Health Insurance Plan

If You Have Elderly Parents to Look After Senior citizen health insurance plans offer complete coverage for elders, including automatic recharge, annual health check-ups, and tax benefits. Further, this policy does not require pre-policy medical check-ups.

Senior Citizen Health Insurance Plan

If You Need Protection Against Critical Illnesses Our Critical Illness Mediclaim provides financial protection against the medical expenses of 32 critical illnesses, including cancer, stroke, and paralysis. It offers low premiums, easy EMI options, quick recovery counselling, and coverage for cancer at all stages.

Critical Illness Insurance

Eligibility Criteria and Health Insurance Policy Details

For health insurance in India, check policy-specific eligibility for conditions like co-payments and waiting periods. Below are Care Health Insurance's eligibility criteria:

Minimum Entry Age

Individual- 5 years | Floater- 91 days with at least 1 insured person of age 18 years or above

Maximum Exit Age

Lifelong for Adults

Tenure Options

1/2/3 Years

Cover Types

Individual and Family Floater basis

Waiting Period

30 days for illnesses, except injury | 24 months for named ailments | 36 months for pre-existing diseases

Grace Period

30 days to renew your policy post expiry

What are the Factors Affecting the Premium of Medical Insurance Policies

Given below are some of the factors that affect the premium of your health insurance policy:

How to Calculate the Premium of Health Insurance Plans?

You can now calculate the premium using a simple digital calculator designed especially for medical insurance policies. This tool helps you get the right estimate of the amount of premium you will have to pay for your policy. It considers various factors to calculate the premium, including the information you have entered. To help you understand the benefits, a good health insurance plan in India is crucial for financial protection against rising medical costs. Here are the steps to calculate your premium:

We offer three policy estimation options: family cover, pre-existing diseases cover, and senior citizen insurance. The premium calculator will automatically calculate the amount you must pay to be eligible for the coverage. You can check the premium and critical benefits in your base Mediclaim insurance policy.

Health Insurance on Your Fingertips

Now that you are versed in the details of health insurance, here are a few other things you should know to make an informed choice of a health insurance plan online. Click through to understand how to choose a health plan online.

To choose the best medical insurance in India, you must consider the below-mentioned advantages:

How much Tax Benefit Can I get from Health Insurance?

If you fall into the taxable slab, then your health insurance plan can fetch you tax benefits. Here’s how:

Policyholders

Deductions for premium paid for self and family

Deductions for premium paid for parents

Preventive Health Check-Ups

Tax benefit

Self and family below 60 years

₹25,000

-

₹5,000

₹25,000

Self, family, and parents below 60 years

₹25,000

₹25,000

₹5,000

₹50,000

Self and family below 60 years and parents above 60 years

₹25,000

₹50,000

₹5,000

₹75,000

Documents required to File a Claim under Health Insurance

Given below are the set of documents that you will have to submit while making a claim:

Category Documents

Claim Related

Medical Documents

Some Myths about Health Insurance Busted

Health insurance is vital to financial planning, yet various misconceptions surround it. Let us examine the most common health insurance myths and help you understand what is a myth and what is not, to help you find the best health insurance in India.

Porting Your Health Policy to Care Health Insurance

There are more than one reasons to port your policy to Care Health Insurance. As an insured person, we promise you unique benefits with lifelong renewability under most of our health insurance plans. Porting a medical plan is easy and can be done before the policy renewal stage. Just notify your existing insurer at least 45 days before the policy renewal date of an existing medical cover.

You will be able to retain your medical insurance policy benefits and accrued bonuses and transfer the time-bound exclusions, including credit for the waiting period for pre-existing diseases. It is possible to port a policy from one insurance company to another and from one health insurance policy to another policy with the same insurance company.

How to Port a Medical Insurance Policy?

Here is a step-by-step guide to port your health insurance scheme and get covered under Care Health Insurance plans:

Step 1

On the home page of Care Health insurance ,select the “port existing policy” option and follow the premium calculation journey.

 

Step 2

Fill up the proposal form and the portability form with relevant details and submit the required documents along with it.

 

Step 3

The requisite data will be furnished on the official portal of IRDAI.

 

Step 4

The new insurance company will underwrite the proposal and inform you within 15 days.

 

Things to Keep in Mind When Porting Health Insurance

Inform your previous insurer

Before switching to a new health insurer, it is vital to inform the current insurer. You should write an application for this purpose. You can make this request to your insurer at least 45 days before your policy’s expiry date. The request must be made 60 days before the renewal date of the health insurance policy. Let’s understand how to make the portability permission request. You should write an application in which you have to mention the name of your new insurer and other personal and details. Once you apply, your application will be reviewed and you will receive an acknowledgement within 3 business days.

Keep an eye on the premium

When you decide to port your health insurance policy to a new insurer, you should enquire about the premium. You should check whether the premium will increase or decline on porting. The change in premium indicates the changes in your coverage or benefits. So, gather this information before you finalize the porting.

Check for the available add-ons

If you are thinking of switching to a new insurer to enhance coverage or benefits, you should check for the available add-ons. You can buy the add-ons of your new insurer to avail of the extended benefits.

Understand the waiting period

You should understand the waiting period cycle before you port to a new insurer. Simply put, the waiting period is divided into three parts.

Give correct details about your medical health

Hiding your medical history when you make a porting request to the new insurer can be a mistake. Your new insurer may or may not make you undergo a medical test. In case you have been suffering from any chronic illness , your porting request may be rejected considering the probability of frequent medical visits or hospitalization.

Choose a higher sum insured

Obviously, you have decided to port to a new insurer because you are optimistic about new benefits there. Hence, you should try to choose a higher sum insured when you port.

Check Insurer Details

Before you decide to port your Mediclaim policies to a new insurer, it might be a good idea to be aware of a few metrics. You should always check for details like discounts being offered, any consumer complaints, company’s empaneled network healthcare providers and the claim settlement ratio. It might also help to check the ratings on the company’s social media handles to understand the overall customer experience.

Hassle-free Claim Settlement Through Care Health Customer App

Care Health Insurance strives to make quality health care accessible to everyone while maintaining a quick and hassle-free claim experience. The Care Health Customer App is an integrated app for all your health insurance needs. You can use this app for claim intimation, fill out a claim form online, upload the necessary claim documents, and track your claim status. Given below is the step-by-step process to file claim intimation using ‘Claim Genie’

You can also track the status of the claim, just click on the ‘Claim Tracking’ option on the homepage. The list of active claims will be presented on the screen. Click on “Track Claim” on the relevant claim. The latest claim status will then be displayed on top of the screen. This app can also be used to download the query/settlement letter or approval letter.

Advantages of Buying Health Insurance Online With Us

Embrace the ease of securing your health online, with our digitally-enhanced portal. All you need to do is simply select your preferred health cover plans, fill up the details, and pay through secure transaction modes. Here’s why and how we ensure a customer-friendly purchase a medical insurance plan online:

Chat Option for Queries

Our team is always available for all your queries concerning the terms and conditions of our healthcare policies. By accessing the live chat option, you can quickly discuss any policy-related matter at your convenience. No appointment is required.

Get Health Insurance Quotes

We facilitate digital premium calculators to help you evaluate and opt for customized healthcare insurance for your family members. The ability to choose your desired health coverage and optional benefits helps us serve you the best Mediclaim policies. You can get numerous health insurance quotes online. All you need to do is select a health insurance plan and enter details such as age, health condition, etc. Compare premiums, coverage, and exclusions to buy health insurance online.

Secure Payment Modes

Our fortress-like secure payment gateways offer various digitally secure modes, including credit/debit cards or net banking. Once purchased, you will receive authentic policy documents immediately. This way, we help you get an instant Mediclaim policy in less than an hour.

Transparent Policy Evaluation

What we promise on paper is what you get in times of emergencies. All our healthcare insurance plans include all the terms and conditions for your ready reference. Online quote comparison makes the whole process transparent. Usually best health insurance providers allow you to add or remove benefits, sum insured, or number of members, etc. Based on your choices, the premium is calculated and you can observe the variation.

Readily Available Value Added Services

While browsing online through our Mediclaim policies, you can easily check out other add-on benefits. These include OPD care, co-payment waiver, and reduced wait time for pre-existing diseases, among others, to cover your specific needs.

Helps Save Money

The offline method of buying Mediclaim policies usually result in increased costs due to numerous factors like agent fees. Insurance agents get a commission for selling Mediclaim policies , which increase the cost of the policy. Purchasing a health insurance plan online can help eliminate overhead expenses. Further, some insurance companies also offer an additional discount when you purchase plans using their online platform. Further, it can also help you save a lot of time and effort as you can buy good health insurance in India in just a few clicks.

Easy Comparison

People have diverse needs. When you buy health insurance online, you can compare and pick a plan that suits your specific needs. You can also get health insurance quotes from different providers to choose one that suits your budget. You can get an understanding of the premium factors based on the plans you choose and the number of people you add.

Region-specific Health Insurance Plans in India

Select from the following plans according to your location and health insurance needs:

Care Health Insurance in the Media Limelight

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